Saint Theresa of the Infant Jesus Parish

New Cumberland, PA
(717) 774-5918

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Parish Registration

- Newcomers
  - Welcome
    
    Parish Registration
    
    Becoming Catholic
    Returning Catholics
    OCIA - Order of Christian Initiation

The St. Theresa of the Infant Jesus parish community extends a warm welcome to those new to our parish and we invite you to register as members.

Registering in a parish is a declaration of your desire to be a part of the Catholic community and a commitment to the life of the parish family.

We are often asked for a sponsor certificate. We can only do this if a person is a registered, active, and contributing member in our parish

In order to register, either complete the form BELOW to register with the parish or please CLICK ON THIS LINK to download, print, complete and return to the parish office.
Parish Registration
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- Last Parish Registered in the Diocese of Harrisburg, if applicable. Note below in Parish and City field
  
  Parish and City
  Note the last parish registered in the Diocese of Harrisburg, if applicable
  Please enter valid data.
  
  Family Last Name (including title Mr & Mrs, Mr, Mrs, Ms, Miss, other) REQUIRED Please fill out this field. Please enter valid data.
- Address
  
  Street 1 REQUIRED Please fill out this field. Please enter valid data.
  
  Apt Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone & Email
  
  Home or Cell Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Work Phone Number Maximum 20 characters Please enter a phone number.
  
  Email ( for receiving parish information) REQUIRED Please fill out this field. Please enter an email address.
- HEAD OF HOUSEHOLD INFORMATION
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Occupation Please enter valid data.
  
  Ethnicity (for diocesan use only) REQUIRED Caucasian African-American Hispanic Asian Native American Other Please fill out this field.
  
  Religion REQUIRED Catholic Other Christian Non-Christian Please fill out this field.
  
  Sacramental Information REQUIRED
  Check box for each sacrament you have received
  Baptism First Communion Confirmation Please fill out this field.
- Marital Status
  
  Marital Status REQUIRED Single Married Widowed Separated Divorced Annulled Please fill out this field.
  
  If married, married by a Priest/Deacon? Yes No
  
  If not married in Catholic Church, would you like to be contacted by a Priest? Yes No
  
  Name of Church Please enter valid data.
  
  Marriage Date Please enter a date.
  
  City and State Please enter valid data.
- SPOUSE INFORMATION
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Maiden Name Please enter valid data.
  
  Birthdate Please enter a date.
  
  Occupation Please enter valid data.
  
  Gender Male Female
  
  Ethnicity (for diocesan use only) Caucasian African-American Hispanic Asian Native American Other
  
  Religion Catholic Other Christian Non-Christian
  
  Sacramental Information
  Check box for each sacrament you have received
  Baptism First Communion Confirmation None of the above
  
  Children / Dependents Living at Home
  *Exclude young adults 23 years and older.
- Number of Dependents REQUIRED Please fill out this field.
  
  Dependent 1
  
  Full, Middle, & Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Religion REQUIRED Catholic Other Christian Non-Christian Please fill out this field.
  
  School Please enter valid data.
  
  Current Grade Please enter valid data.
  
  Sacramental Information REQUIRED
  Check box for each sacrament you have received
  Baptism First Communion Confirmation None of the above Please fill out this field.
  
  Dependent 2
  
  Full, Middle, & Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Religion REQUIRED Catholic Other Christian Non-Christian Please fill out this field.
  
  School Please enter valid data.
  
  Current Grade Please enter valid data.
  
  Sacramental Information REQUIRED
  Check box for each sacrament you have received
  Baptism First Communion Confirmation None of the above Please fill out this field.
  
  Dependent 3
  
  Full, Middle, & Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Religion REQUIRED Catholic Other Christian Non-Christian Please fill out this field.
  
  School Please enter valid data.
  
  Current Grade Please enter valid data.
  
  Sacramental Information REQUIRED
  Check box for each sacrament you have received
  Baptism First Communion Confirmation None of the above Please fill out this field.
  
  Dependent 4
  
  Full, Middle, & Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Religion REQUIRED Catholic Other Christian Non-Christian Please fill out this field.
  
  School Please enter valid data.
  
  Current Grade Please enter valid data.
  
  Sacramental Information REQUIRED
  Check box for each sacrament you have received
  Baptism First Communion Confirmation None of the above Please fill out this field.
  
  Dependent 5
  
  Full, Middle, & Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Religion REQUIRED Catholic Other Christian Non-Christian Please fill out this field.
  
  School Please enter valid data.
  
  Current Grade Please enter valid data.
  
  Sacramental Information REQUIRED
  Check box for each sacrament you have received
  Baptism First Communion Confirmation None of the above Please fill out this field.
  
  Dependent 6
  
  Full, Middle, & Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Religion REQUIRED Catholic Other Christian Non-Christian Please fill out this field.
  
  School Please enter valid data.
  
  Current Grade Please enter valid data.
  
  Sacramental Information REQUIRED
  Check box for each sacrament you have received
  Baptism First Communion Confirmation None of the above Please fill out this field.
  
  Dependent 7
  
  Full, Middle, & Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Religion REQUIRED Catholic Other Christian Non-Christian Please fill out this field.
  
  School Please enter valid data.
  
  Current Grade Please enter valid data.
  
  Sacramental Information REQUIRED
  Check box for each sacrament you have received
  Baptism First Communion Confirmation None of the above Please fill out this field.
  
  Dependent 8
  
  Full, Middle, & Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Religion REQUIRED Catholic Other Christian Non-Christian Please fill out this field.
  
  School Please enter valid data.
  
  Current Grade Please enter valid data.
  
  Sacramental Information REQUIRED
  Check box for each sacrament you have received
  Baptism First Communion Confirmation None of the above Please fill out this field.
- Permission request: May we use your provided email address or cell phone number (if provided above) for important messages from Saint Theresa Parish? REQUIRED
  If yes, provide the desired email address or cell phone number below
  yes no Please fill out this field.
- If yes, please provide the desired email address or CELL phone number we should use below:
- Giving
  Saint Theresa is a tithing parish and provides two options for the weekly offertory and special collections.
- Please Check One for your Preference: REQUIRED Online Giving: Elect to have your gift automatically deducted from your designated checking account or credit card. (visit our parish website : www.sainttheresaparish.org for information and sign-up) Offertory Envelopes: mailed bi-monthly Please fill out this field.
- IF ONLINE GIVING IS ELECTED, which do you prefer to receive? Only Special envelopes All Envelopes
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Parish Registration

Giving